Individual provider Active NPI

Payal Shah, NP

  • Family Nurse Practitioner
  • Farmington Hills, MI
National Provider Identifier
1063879369
Registry record updated Aug 9, 2019
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
4704278319 Issued in MI
Practice address
31500 W 13 Mile Rd Ste 100
Farmington Hills, MI 48334-2172
Phone
(248) 509-4070
Fax
(248) 509-4080
NPI assigned
Jan 19, 2016
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Aug 9, 2019

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Nurse Practitioner 363LF0000X 4704278319 MI Primary

Addresses

Primary practice location

31500 W 13 Mile Rd Ste 100
Farmington Hills, MI 48334-2172

Mailing address

31500 W 13 Mile Rd Ste 100
Farmington Hills, MI 48334-2172
Phone (248) 509-4070

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in MI
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: Yes
  • Hospice: No
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20160708001795 MI Practitioner - Nurse Practitioner 4688966823 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2014
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
VPS of Mi PLLCGroup PAC ID 1052603297, 4 clinicians

Practice addresses (Care Compare)

14825 W McNichols Rd
Detroit, MI 48235-3939
Phone (734) 772-4722

Hospital & facility affiliations

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Nurse Practitioner

State licenses

LicenseStateTypeSpecialty
4704278319MIMDFamily Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
VPS of Mi PLLC CurrentSince Jun 1, 2016 Accepting new patients

Locations

8033 E 10 Mile Rd
Ste 105
Center Line, MI 48015
Phone (586) 755-6101

14825 W McNichols Rd
Detroit, MI 48235
Phone (313) 838-7900

31500 W 13 Mile Rd
Ste 100
Farmington Hills, MI 48334
Phone (248) 509-4070

25880 Outer Dr
Lincoln Park, MI 48146
Phone (313) 294-9410

25880 Outer Dr
Ste A
Lincoln Park, MI 48146

Organizations & group practices 1

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

Hospital & facility affiliations 1

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1453161600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1565308800000",
    "number": "1063879369",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "31500 W 13 MILE RD STE 100",
            "city": "FARMINGTON HILLS",
            "state": "MI",
            "postal_code": "483342172",
            "telephone_number": "248-509-4070",
            "fax_number": "248-509-4080"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "31500 W 13 MILE RD STE 100",
            "city": "FARMINGTON HILLS",
            "state": "MI",
            "postal_code": "483342172",
            "telephone_number": "248-509-4070",
            "fax_number": "248-509-4080"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SHAH",
        "first_name": "PAYAL",
        "credential": "NP",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2016-01-19",
        "last_updated": "2019-08-09",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "MI",
            "license": "4704278319",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Farmington Hills, MI

Sources for this page

Verify at the official NPI Registry.